A Case Study on a Patient with Non-alcoholic Fatty Liver Disease(NAFLD) Improved on Sonography by Oriental Obesity Therapy

한방비만치료 후 초음파 영상에서 비알코올성 지방간의 호전을 보인 환자 치험 1례

  • Park, Kyoung-Sun (Dept. of Oriental Gynecology, College of Oriental Medicine, KyungHee University) ;
  • Hwang, Deok-Sang (Dept. of Oriental Gynecology, College of Oriental Medicine, KyungHee University) ;
  • Cho, Jung-Hoon (Dept. of Oriental Gynecology, College of Oriental Medicine, KyungHee University) ;
  • Lee, Chang-Hoon (Dept. of Oriental Gynecology, College of Oriental Medicine, KyungHee University) ;
  • Lee, Kyung-Sub (Dept. of Oriental Gynecology, College of Oriental Medicine, KyungHee University)
  • 박경선 (경희대학교 한의과대학 한방부인과) ;
  • 황덕상 (경희대학교 한의과대학 한방부인과) ;
  • 조정훈 (경희대학교 한의과대학 한방부인과) ;
  • 이창훈 (경희대학교 한의과대학 한방부인과) ;
  • 이경섭 (경희대학교 한의과대학 한방부인과)
  • Published : 2009.06.30

Abstract

Objectives The purpose of this study was to investigate the clinical effect of oriental obesity therapy on obese patient with non-alcoholic fatty liver disease(NAFLD). Methods The patient was treated from November 17, 2008 to May 15, 2009 for obesity treatment. And the patient had intensive care through admission treatment from November 17, 2008 to November 29, 2008. Electrolipolysis, auricular acupuncture, herbal medicine, low calorie diet and aerobic exercise were done during the treatment period. Results His body Weight decreased from 102.8kg to 82.7kg. The BMI decreased from 35.2kg/m$^2$ to 28.9kg/m$^2$. NAFLD effectively improved on sonography form grade II${\sim}$III to grade I${\sim}$II after oriental obesity therapy, AST decreased from 65 to 19. ALT decreased from 152 to 18. Oriental obesity therapy could be effective to treat obese patient with NAFLD. Conclusions The obese patient with NAFLD improved on sonography by oriental obesity therapy.

Keywords

References

  1. Park SH, Jeon WK, Kim HJ, Park DI, Cho YK, Snng IK, Sohn C, Keum DK, Kim BI. Prevaence and risk factors of non-acohoic fatty liver disease among Korean aduts. J Castroenterol Hepatol. 2006 Jan;21(1 Pt 1):138-43.
  2. Strauss RS, Barow SE, Dietz WH. Prevaence of abnorma serum aminotransferase vaues in overweight and obese adoescents. J Pediatr. 2000;136:727-33.
  3. 이상엽, 최상한, 김영주, 김윤진. 초음파로 진단된 비알코올성 중증 지방간의 임상적 의의. 대한임상건강증진학회지. 2002;2:46-57.
  4. Lee S, Kim YJ, Jean TY, Kim HH, Oh SW, Park Y, Soo Kim S. Obesity is the only independent factor associated with utrasound-diagnosed non-acohoic fatty liver disease: a crosssectiona case-contro study. Scand J Gastroenterol. 2006;41(5):566-72.
  5. 임철순, 김성수. 초음파로 진단된 지방간 환자에서 대사증후군과 관련된 위험인자. 대한비만학회지. 2008;17(3):124-31.
  6. Hutcrantz R, Gabriesson N. Patients with persistent elevation of aminotransferases: investigation with utrasonography, radionucide imaging and iver biopsy. J Intern Med. 1993; 233(1):7-12.
  7. Fishbein MH, Gardner KG, Potter CJ, Schmabrock P, Smith MA. Introduction of fast MR imaging in the assessment of hepatic steatosis. Magn Reson Imaging. 1997;15:287-93.
  8. 차윤엽. 당뇨병을 동반한 비만환자의 치험 1례.한방비만학회지. 2004;4(1):193-9.
  9. 이재성. 다낭성난소 소견을 동반한 비만여성 불임 치험 1례: 증례보고. 한방비만학회지. 2005;5(1): 157-63.
  10. 허자경, 황덕상, 이창훈, 이경섭. 한방 비만 치료 후 간기능 개선을 보인 비알코올성 지방간 환자 1례 보고. 한방비만학회지. 2007;7(2):85-94.
  11. Caro A Mittestaedt. Genera utrasound. USA:Churchill Livingstone. 1992:185.
  12. Fack-Ytter Y, Younossi ZM, Marchesini G, McCuough AJ. Cinica features and natura history of nonacohoic steatosis syndromes. Semin Liver Dis. 2001;21(1):17-26.
  13. Ludwig J, Viggiano TR, McGill DB, Oh BJ. Nonacohoic steatohepatitis: Mayo Clinic experiences with a hitherto unnamed disease. Mayo Clin Proc. 1980;55(7):434-8.
  14. 유인상, 강동호, 박노원, 오정열, 이원근, 체중증가가 심혈관계 위험 요인에 미치는 영향. 가정의학회지. 1997;18(7):722-3
  15. Hickman IJ, Jonsson JR, Prins JB, Ash S, Purdie DM, Oouston AD, Powe EE. Modest weight oss and physical activity in overweight patients with chronic liver disease resuts in sustained improvements in aanine aminotransferase, fasting insuin, and quaity of life. Gut. 2004;53:413-9.
  16. Park HS, Kim MW, Shin ES. Effect of weight control on hepatic abnormaities in obese patients with fatty liver. J Korean Med Sci. 1995;10:414-21.
  17. 이상엽, 최상한, 김윤진. 중년의 과체중 환자에서 체중 변화가 간기능에 미치는 영향. 대한비만학회지. 2002;11(4):362-8.
  18. 류수민, 선승우, 김길수, 문진석, 윤유식. 사상체 질별 비만도 분석과 체지방 감량효과의 차이에 관한 연구. 한방비만학회지. 2005;5(1):21-9.
  19. 전국 한의과대학 사상의학교실. 사상의학. 서울:집문당. 2006:201.
  20. 윤진환, 류성환, 정경훈, 최덕구, 정일규, 이희혁, 김종요, 정진욱. 운동과 태음조위탕 처방이 흰쥐의 간기능 효소와 간내 지방축적에 미치는 영향. 운동 과학. 2002;11(2):345-57.